Please
typewrite before faxing back this form to +1 530 348-7482
|
|
|
Your name: |
|
Contact e-mail
address: |
|
VISA billing
address: |
|
Country: |
Today Date: d
m
y |
Tel: number: |
|
Your Requirements |
Did you open
already an account with us?: |
|
How much do you
want to invest?: |
US dollars:
maximum $ 5'000.- by VISA / $ 100'000.- by transfer |
How
much of cash flow do you want to keep in your account? : |
Pls remember about our fee
|
Which fund
do you want to buy? |
Fund selection
|
|
Paying To Purchase Your Assets by VISA |
Name
on Card: |
|
|
Card
Number: |
-
- -
Exp.
-
(mm-yy) |
Any other comments:
eg any special requirements you may have
|
|
|